Individual provider Active NPI

Mark Stuart Worthen, MD

  • Family Medicine Physician
  • Nags Head, NC
National Provider Identifier
1619085115
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31410 Issued in NC
Practice address
4917 S Croatan Hwy Ste 1a
Nags Head, NC 27959-8996
Phone
(252) 449-6160
Fax
(252) 449-6161
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31410 NC Primary

Addresses

Primary practice location

4917 S Croatan Hwy Ste 1a
Nags Head, NC 27959-8996

Mailing address

4917 S Croatan Hwy Ste 1a
Nags Head, NC 27959-8996
Phone (252) 449-6160

Other identifiers 3

IdentifierTypeStateIssuer
1619085115MedicaidNC
89255OtherNCBCBS
7989255MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000402 NC Practitioner - Family Practice 9436107430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carteret Medical Group LLCGroup PAC ID 5698947794, 65 clinicians

Practice addresses (Care Compare)

1165 Cedar Point Blvd
Cedar Point, NC 28584-1030

338 Howard Blvd
Newport, NC 28570-7928
Phone (252) 499-8500

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 247-2013

Hospital & facility affiliations

  • Carteret General Hospital Hospital, Morehead City, NC, CCN 340142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Oct 1, 2011 Accepting new patients
Carteret Medical Group LLC CurrentSince Dec 14, 2025 Accepting new patients
National Emergency Services North Carolina Inc Past Accepting new patients
Snug Harbor Management LLC Past Accepting new patients

Locations

161 E Water St
Belhaven, NC 27810
Phone (252) 943-6114

245 Allen St
Belhaven, NC 27810
Phone (252) 944-2218

202 E Water St
Belhaven, NC 27810
Phone (252) 943-2111

1165 Cedar Point Blvd
Ste H
Cedar Point, NC 28584
Phone (252) 499-6850

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5112 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 449-7474

302 Medical Park Ct
Morehead City, NC 28557
Phone (252) 247-2013

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

4917 S Croatan Hwy
Ste 1A
Nags Head, NC 27959
Phone (252) 449-2100

338 Howard Blvd
Newport, NC 28570
Phone (252) 223-3291

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

1403 S King St
Windsor, NC 27983
Phone (252) 794-6685

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1619085115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 S CROATAN HWY STE 1A",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598996",
            "telephone_number": "252-449-6160",
            "fax_number": "252-449-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 S CROATAN HWY STE 1A",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598996",
            "telephone_number": "252-449-6160",
            "fax_number": "252-449-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHEN",
        "first_name": "MARK",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "31410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619085115",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89255",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7989255",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

Verify at the official NPI Registry.